URBAN CONGREGATIONS' CAPACITY FOR HIV PREVENTION & CARE

城市人群预防艾滋病毒的能力

• 批准号: 7666176
• 负责人: Kathryn Pitkin Derose
• 金额: $ 113.69万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-06-06 至 2013-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7666176
• 关键词: AIDS education/prevention; AIDS prevention; AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Address; Adoption; Adult; Affect; Area; Attitude; Caring; Characteristics; Classification; Communities; County; Data; Diffusion of Innovation; Dimensions; Elements; Ethnic Origin; HIV; Health; Health Personnel; Homosexuality; Human; Interview; Knowledge; Life; Linear Models; Los Angeles; Maps; Measures; Methods; Neighborhoods; Play; Poverty; Prevalence; Prevention; Process; Provider; Race; Religion and Spirituality; Research; Resolution; Resources; Role; Sampling; Services; Site Visit; Social Change; Social Work; Socioeconomic Status; Stigmata; Surveys; Taboo; Techniques; Telephone; Testing; Training; Work; base; demographics; fight against; informant; insight; interest; organizational structure; prevent; prevention service; programs; social; social stigma; theories

DESCRIPTION (provided by applicant): Religious congregations reach many lives and play an important role in working for social change. Could they play a similarly powerful role in the fight against HIV/AIDS? Although there is some evidence for an affirmative answer, few studies have examined systematically the prevalence and predictors of congregational involvement in health programs in general, much less in HIV/AIDS services. The purposes of this research are to describe the processes by which HIV/AIDS prevention and care activities are implemented in congregations and to examine factors associated with such activities. It is informed by a conceptual framework in which congregations' capacity to engage in HIV/AIDS activities and their interest in doing so are affected by norms and attitudes (including attitudes towards HIV and homosexuality), the organizational structure of congregations and other community elements, various sets of resources (internal to the congregation and external), and demographics. It is hypothesized that some of these factors will predict a congregation's decisions to implement health programs of any kind; other factors will predict decisions to implement HIV/AIDS activities in particular, and a third set of factors will predict the type and intensity of activities implemented. Hypotheses will be further elaborated through site visits and interviews with pastoral and lay leaders at 12 congregations of varying denomination, ethnicity, and size in Los Angeles County, half of which have implemented HIV/AIDS programs and half of which have not but are otherwise comparable. Factors hypothesized to influence congregational involvement will then be tested quantitatively through a telephone survey of 800 congregations in ethnically diverse areas of the county disproportionately affected by HIV/AIDS. The effects of community characteristics will be examined by compiling neighborhood-level data on socioeconomic status, ethnic diversity, community need, and so forth. Hypotheses will be tested through hierarchical linear modeling techniques. Study findings will be of utility to county health departments and health care providers, which will be interested to know to what extent their efforts may be supplemented by congregations. Results will also be of interest to other organizations and agencies that seek to promote service provision in community-based settings and to train potential providers; knowledge of local barriers to, and facilitators of, HIV/AIDS engagement should help them target their efforts.

描述（由申请人提供）：宗教会众享有许多生命，并在社会变革中起着重要作用。他们可以在与艾滋病毒/艾滋病的斗争中发挥同样有力的作用吗？尽管有一些肯定答案的证据，但很少有研究系统地检查了会众参与健康计划的普遍性和预测因素，而艾滋病毒/艾滋病服务中的较少。这项研究的目的是描述在会众中实施艾滋病毒/艾滋病预防和护理活动的过程，并检查与此类活动相关的因素。它是由一个概念框架所启示的，即会众从事艾滋病毒/艾滋病活动的能力及其对这样做的兴趣受到规范和态度的影响（包括对艾滋病毒和同性恋的态度），会众和其他社区元素的组织结构，各种资源集合（对众议院和外部）和人口统计学。假设其中一些因素将预测会众实施任何形式的健康计划的决定；其他因素将预测尤其是实施艾滋病毒/艾滋病活动的决策，第三组因素将预测实施活动的类型和强度。在洛杉矶县的12个不​​同教区，种族和规模不同的会众的现场访问和访谈中，将进一步阐述假设，其中一半已经实施了艾滋病毒/艾滋病计划，其中一半却没有，但没有其他可比性。然后，假设影响会众参与的因素将通过对县的800众众群体的电话调查进行数量测试，并受到艾滋病毒/艾滋病的影响不成比例。通过汇编有关社会经济地位，种族多样性，社区需求等的邻里级别数据，将检查社区特征的影响。假设将通过层次线性建模技术进行测试。研究结果将对县卫生部门和卫生保健提供者有效，这将有兴趣知道他们的努力在多大程度上被会众补充。结果也将引起其他组织和机构的关注，这些组织和机构试图在社区环境中促进服务提供并培训潜在提供者；了解艾滋病毒/艾滋病参与的当地障碍和促进者的知识应有助于他们针对自己的努力。